Individual
ALPHONSUS KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7526 E 82ND ST, INDIANAPOLIS, IN 46256-1410
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 387-4313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-509363
IN
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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